| NPI | 1003100090 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO DR.0056446) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA L-247558) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2020-03-20 |